Provider Demographics
NPI:1003906843
Name:DAUER, MARC STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:STEVEN
Last Name:DAUER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:22840 SOLEDAD CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:CA
Mailing Address - Zip Code:91350-2630
Mailing Address - Country:US
Mailing Address - Phone:661-799-1776
Mailing Address - Fax:661-799-1775
Practice Address - Street 1:22840 SOLEDAD CANYON RD
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:CA
Practice Address - Zip Code:91350-2630
Practice Address - Country:US
Practice Address - Phone:661-799-1776
Practice Address - Fax:661-799-1775
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG80025207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G17937Medicare UPIN